MARIE GABRIELA CHAVARRIA Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000104

License Status

EXPIRED

Business

First Name

MARIE

Middle

GABRIELA

Last Name

CHAVARRIA

Business Name

MARIE GABRIELA CHAVARRIA

Original Issue Date

11/24/2004

Effective Date

11/24/2004

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005